Perioperative management of bridge-to-lung transplant using ECMO

James M Blum; Brian J Woodcock; Anna V Dubovoy; Timur Dubovoy; Muhammad Masood; Andrew C Chang; Jules Lin; Jonathan W Haft

doi:10.1097/MAT.0b013e318288a0e5

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Perioperative management of bridge-to-lung transplant using ECMO

Journal article

Open access

Peer reviewed

Perioperative management of bridge-to-lung transplant using ECMO

James M Blum, Brian J Woodcock, Anna V Dubovoy, Timur Dubovoy, Muhammad Masood, Andrew C Chang, Jules Lin and Jonathan W Haft

ASAIO journal (1992), Vol.59(3), pp.331-335

05/2013

DOI: 10.1097/MAT.0b013e318288a0e5

PMID: 23644626

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https://doi.org/10.1097/MAT.0b013e318288a0e5View

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Abstract

Respiratory failure requiring intubation has traditionally been a relative contraindication to lung transplantation due to increased morbidity and mortality. Advances in extracorporeal membranous oxygenation (ECMO) have made it possible to extubate patients and provide physical therapy with minimal native lung function. By "bridging" patients to lung transplant using ECMO, they are able to undergo rehabilitation and withstand the demands of surgery. However, providing anesthesia for these cases requires an understanding of ECMO physiology and the pharmacology associated with ECMO. We describe the anesthetic for four patients who were bridged to lung transplant and the complexities of their perioperative management.

Respiratory Insufficiency - physiopathology

Respiratory Insufficiency - surgery

Humans

Middle Aged

Perioperative Care - methods

Adult

Male

Treatment Outcome

Lung Transplantation - methods

Respiratory Insufficiency - therapy

Extracorporeal Membrane Oxygenation - methods

Details

Title: Subtitle: Perioperative management of bridge-to-lung transplant using ECMO
Creators: James M Blum - Department of Anesthesiology, University of Michigan Health System, Ann Arbor, Michigan 48109-5861, USA. jmblum@umich.edu
Brian J Woodcock
Anna V Dubovoy
Timur Dubovoy
Muhammad Masood
Andrew C Chang
Jules Lin
Jonathan W Haft
Resource Type: Journal article
Publication Details: ASAIO journal (1992), Vol.59(3), pp.331-335
Publisher: United States
DOI: 10.1097/MAT.0b013e318288a0e5
PMID: 23644626
ISSN: 1058-2916
eISSN: 1538-943X
Grant note: KL2 RR024987 / NCRR NIH HHS KL2 F025965 / PHS HHS
Language: English
Date published: 05/2013
Academic Unit: Anesthesia
Record Identifier: 9984013163402771

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